Provider Demographics
NPI:1417353335
Name:ARCADIA FOOTHILL SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ARCADIA FOOTHILL SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SORGANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-956-1010
Mailing Address - Street 1:255 E SANTA CLARA ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-7226
Mailing Address - Country:US
Mailing Address - Phone:818-956-1010
Mailing Address - Fax:818-543-6083
Practice Address - Street 1:255 E SANTA CLARA ST
Practice Address - Street 2:SUITE 110
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7226
Practice Address - Country:US
Practice Address - Phone:818-956-1010
Practice Address - Fax:818-543-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical